Organization · Type 2 NPI

Centra Medical Group, LLC

Family Medicine Physician · Danville, VA

NPI number 1285931089 Active

Practice location

404 Airport Dr, Suite A
Danville, VA 24540-5196

Call (434) 791-2612 Map

Mailing address

1204 Fenwick Dr
Lynchburg, VA 24502-2112

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5 other providers at this address

Other family medicine physician providers in Danville

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NPI record

NPI: 1285931089
Entity type: Organization (Type 2)
Issued: Feb 15, 2011
Last updated: Nov 14, 2012
Status: Active
Subpart: Yes of Centra Medical Group, LLC

Other names

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Piedmont Primecare-Centra Medical Group · doing business as

Authorized official

Lewis Addison
CFO
(434) 200-3656

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285931089

Centra Medical Group, LLC's National Provider Identifier is 1285931089, issued on Feb 15, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Danville, VA. The record was last updated on Nov 14, 2012.